A day of domiciliary practice

Clinical Practice
Rounding off our series looking at domiciliary eye care provision, Dr Zahra Jessa and Dr Louise Gow take us through the day of a domiciliary low vision optometrist

8.15am – I walk through the doors of RNIB, Judd Street, wondering what my clinic for the day will be like. My clinics usually include a combination of domiciliary and centre-based appointments with a range of low vision and learning disability patients.


I have an hour to review the notes for the day and decide what equipment I need to take with me on the domiciliary visits. The large suitcase of low vision aids (figure 1) is taken on all visits along, with a portable logMAR chart (figure 2) and contrast chart.

Reviewing the notes enables me to decide if any specialist charts are also required such as Lea Symbols, Hiding Heidi Low Contrast Cards, Kay Pictures and Cardiff Acuity Cards (figure 3).

Deciding what equipment to take is only one part of the preparation for going on a domiciliary low vision visit. The notes also enable us to consider other aspects which include:

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